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ICD-10-PCS 2027 procedure code

0RWS04ZRevision of Internal Fixation Device in Right Carpometacarpal Joint, Open Approach

✓ Valid for 2027O.R. procedure

Short description: Revision of Int Fix in R Carpometacarp Jt, Open Approach

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-PCS release from CMS. Page updated September 29, 2026. About our data

About 0RWS04Z

0RWS04Z is the ICD-10-PCS code for a revision procedure on the right carpometacarpal joint using an open approach with internal fixation device. In ICD-10-PCS, revision means correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device.

In plain terms, this corresponds to other arthrotomy, hand and finger, the ICD-9-CM procedure title it maps to (80.14).

For a different body part, codes include 0RW004Z (occipital-cervical joint), 0RW104Z (cervical vertebral joint), 0RW404Z (cervicothoracic vertebral joint), 0RW604Z (thoracic vertebral joint), 0RWA04Z (thoracolumbar vertebral joint), 0RWC04Z (right temporomandibular joint) and 18 more.

The same procedure with a different approach is coded 0RWS34Z (percutaneous), 0RWS44Z (percutaneous endoscopic) and 0RWSX4Z (external).

With a different device, use 0RWS00Z (drainage device), 0RWS03Z (infusion device), 0RWS05Z (external fixation device), 0RWS07Z (autologous tissue substitute), 0RWS08Z (spacer), 0RWS0JZ (synthetic substitute) and 1 more.

It is an operating-room procedure in the MS-DRG logic for DRG 506 (Major Thumb or Joint Procedures) and DRG 906 (Hand Procedures for Injuries), under the surgical categories “Major Thumb or Joint Procedures” and “Hand Procedures for Injuries”.

It has been valid since ICD-10-PCS took effect on October 1, 2015.

What each character means

1. Section
0Medical and Surgical
2. Body System
RUpper Joints
3. Operation
WRevision

Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device

Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin

Includes: Adjustment of position of pacemaker lead, recementing of hip prosthesis

4. Body Part
SCarpometacarpal Joint, Right
5. Approach
0Open

Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure

6. Device
4Internal Fixation Device
7. Qualifier
ZNo Qualifier

Other versions of this procedure

MS-DRG v44.0 grouping

All DRGs →

Surgical MS-DRGs this procedure can group to, depending on the principal diagnosis's MDC.

MDC 08 · Diseases and Disorders of the Musculoskeletal System and Connective Tissue · Major Thumb or Joint Procedures

MDC 21 · Injuries, Poisonings and Toxic Effects of Drugs · Hand Procedures for Injuries

ICD-9-CM equivalent

Converter →
  • 80.14Other arthrotomy, hand and fingerapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • FY2018 (effective 10/1/2017): Title revised — was “Revision of Internal Fixation Device in Right Metacarpocarpal Joint, Open Approach”

Common questions about 0RWS04Z

Is 0RWS04Z a valid ICD-10-PCS code for 2027?

Yes. 0RWS04Z is valid for inpatient procedures from October 1, 2026 through September 30, 2027.

Is 0RWS04Z an O.R. procedure?

Yes. 0RWS04Z is an O.R. procedure in MS-DRG v44.0.

What DRG does 0RWS04Z group to?

Depending on the principal diagnosis, 0RWS04Z can group to MS-DRG 506 and MS-DRG 906.

What is the ICD-9 procedure code for 0RWS04Z?

The CMS GEMs map 0RWS04Z to ICD-9-CM 80.14 (Other arthrotomy, hand and finger).